Ululu wophatikizana

Ululu wophatikizika ungakhudze gawo limodzi kapena angapo.

Zowawa zophatikizana zimatha kuyambitsidwa ndi mitundu ingapo yovulala kapena mikhalidwe. Itha kulumikizidwa ndi nyamakazi, bursitis, ndi kupweteka kwa minofu. Ziribe kanthu zomwe zimayambitsa, kupweteka kwamalumikizidwe kumatha kukhala kovuta kwambiri. Zinthu zina zomwe zingayambitse kupweteka pamodzi ndi:

• Matenda osokoneza bongo monga nyamakazi ya nyamakazi ndi lupus
• Bursitis
• Chondromalacia patellae
• Makhiristo olowa-gout (makamaka opezeka mu chala chachikulu chakuphazi) ndi nyamakazi ya CPPD (pseudogout)
• Matenda oyamba ndi kachilombo
• Kuvulala, monga kusweka
• Nyamakazi
• Osteomyelitis (matenda amfupa)
• Matenda a nyamakazi (matenda ophatikizana)
• Matendawa
• Kuchita zachilendo kapena kugwiritsa ntchito mopitirira muyeso, kuphatikizapo zovuta kapena zopopera

Zizindikiro za kutupa molumikizana ndizo:

• Kutupa
• Kutentha
• Chifundo
• Kufiira
• Ululu ndi kuyenda

Tsatirani upangiri wa omwe amakuthandizani kuti muzitha kuchitira zowawa.

Kwa ululu wosagwirizana ndi nyamakazi, kupumula ndi kuchita masewera olimbitsa thupi ndikofunikira. Malo osambira ofunda, kutikita minofu, ndi zolimbitsa thupi ziyenera kugwiritsidwa ntchito pafupipafupi momwe zingathere.

Acetaminophen (Tylenol) itha kuthandiza kuti kumva kuwawa kumveke bwino.

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS) monga ibuprofen kapena naproxen atha kuthandiza kuthetsa ululu ndi kutupa. Lankhulani ndi omwe amakupatsani musanapereke ma aspirin kapena ma NSAID monga ibuprofen kwa ana.

Lumikizanani ndi omwe amakupatsani ngati:

• Muli ndi malungo omwe sagwirizana ndi zizindikiro za chimfine.
• Mwataya mapaundi 10 (makilogalamu 4.5) kapena kuposa osayesa (kutaya mwadzidzidzi).
• Kupweteka kwanu kwamalumikizidwe kumatenga masiku opitilira angapo.
• Muli ndi ululu wophatikizika, wosadziwika komanso kutupa, makamaka ngati muli ndi zina zosafotokozedwa.

Wothandizira anu adzakufunsani mafunso okhudza mbiri yanu yachipatala ndi zizindikiro, kuphatikizapo:

• Ndi olowa ati omwe amapweteka? Kodi ululu mbali imodzi kapena mbali zonse ziwiri?
• Nchiyani chinayambitsa ululu ndipo mwakhala nawo kangati? Kodi mudakhalapo kale?
• Kodi kupweteka kumeneku kunayamba modzidzimutsa, kapena pang'onopang'ono komanso mofatsa?
• Kodi kupweteka kumakhala kosalekeza kapena kumabwera ndikumapita? Kodi ululuwo wakula kwambiri?
• Kodi mwavulaza cholowa chanu?
• Kodi mudadwala, kuchita zotupa kapena kutentha thupi?
• Kodi kupumula kapena kusuntha kumapangitsa ululuwo kukhala wabwino kapena wowonjezereka? Kodi maudindo ena amakhala ocheperako? Kodi kusunga mgwirizanowu kumathandizira?
• Kodi mankhwala, kutikita minofu, kapena kupaka kutentha kumachepetsa ululu?
• Ndi zisonyezo zina ziti zomwe muli nazo?
• Kodi pali dzanzi lililonse?
• Kodi mutha kupinda ndikuwongola cholumikizira? Kodi cholumikizacho chimakhala cholimba?
• Kodi malo anu amalimba m'mawa? Ngati ndi choncho, kuuma kumatenga nthawi yayitali bwanji?
• Nchiyani chimapangitsa kuuma bwino?

Kuyezetsa thupi kudzachitika kuti muwone ngati pali zovuta zina kuphatikiza:

• Kutupa
• Chifundo
• Kutentha
• Ululu woyenda
• Kusuntha kosazolowereka monga kuchepa, kumasula kwa cholumikizira, kutengeka kwa grating

Mayeso omwe angachitike ndi awa:

• CBC kapena kusiyana kwa magazi
• Mapuloteni othandizira C
• X-ray yolumikizana
• Mlingo wamatsenga
• Kuyesedwa kwamagazi komwe kumayenderana ndi zovuta zingapo zama auto
• Kufuna kogwirizana kuti mupeze madzimadzi olumikizana ndi chikhalidwe, kuchuluka kwa maselo oyera ndikuyesa makhiristo

Chithandizo chitha kukhala:

• Mankhwala monga non-steroidal anti-inflammatory drug (NSAIDS) kuphatikiza ibuprofen, naproxen, kapena indomethacin
• Jekeseni wa mankhwala a corticosteroid mu olowa
• Maantibayotiki komanso nthawi zambiri opangira maopareshoni, ngati atenga matenda (nthawi zambiri amafunika kuchipatala)
• Thandizo lakuthupi la kukonzanso minofu ndi molumikizana

Kuuma kolumikizana; Ululu - mafupa; Nyamakazi; Nyamakazi

• Mafupa
• Kapangidwe ka cholumikizira

Bykerk VP, Khwangwala MK. Njira kwa wodwala matenda enaake ophwanya. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 241.

Davis JM, Moder KG, Hunder GG. (Adasankhidwa) Mbiri ndi kuyezetsa thupi kwa minofu ndi mafupa. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelley ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 40.